PRISCILLA KIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

NOT RENEWED

Business

First Name

PRISCILLA

Last Name

KIM

Suffix

Business Name

PRISCILLA KIM MD

Original Issue Date

09/16/1998

Effective Date

09/16/1998

Expiration Date

07/31/2002

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/09/2006